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Occupation information for

Medical Records and Health Information Technicians
District Of Columbia

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description

Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Process, maintain, compile, and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.

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details

Currently Employed: 600

Projected Annual Job Openings: 20

Typical Hourly Wage: Not Available

Typical Annual Salary: Not Available

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typical training

Typical education needed for entry: Postsecondary non-degree award

Typical work experience needed for a job in this occupation: None

Typical on-the-job training once you have a job in this occupation: None

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typical job duties

  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Process patient admission or discharge documents.
  • Transcribe medical reports.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  • Identify, compile, abstract, and code patient data, using standard classification systems.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.
  • Release information to persons or agencies according to regulations.

tools & technology


Tools:
  • Medical charting systems components or accessories
  • Microfiche or microfilm viewer components or accessories
  • Postal scales
  • Scanners
  • Special purpose telephones

Technology:
  • Accounting software
  • Data base user interface and query software
  • Document management software
  • Medical software
  • Voice recognition software

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